Healthcare Provider Details

I. General information

NPI: 1508925447
Provider Name (Legal Business Name): CHRISTOPHER WALTER HORNER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 ROUTE 9
WARETOWN NJ
08758-1706
US

IV. Provider business mailing address

405 ROUTE 9
WARETOWN NJ
08758-1706
US

V. Phone/Fax

Practice location:
  • Phone: 160-924-2240
  • Fax: 160-924-2992
Mailing address:
  • Phone: 160-924-2240
  • Fax: 160-924-2992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC00525700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: